unit council redesign – expanding the concept of shared ... · unit council redesign –...
TRANSCRIPT
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Unit Council Redesign –Expanding the Concept of Shared Governance
Jamie Vincent, APRN-CNS, RNC-OB, C-EFM
Perinatal Clinical Nurse Specialist
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Objectives:
1) Identify one innovative approach to improving staff engagement in shared governance through unit council redesign.
2) From the unit council model presented, outline one barrier to implementing this innovative unit council model.
3) From the unit council model presented, outline one benefit to implementing this innovative unit council model.
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Disclosures
• I have nothing to disclose
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Magnet® Designation
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Unit Council Previous State
• Traditional governance model
• In place since 2006
• Required long membership commitment
• Inconsistent budget allocations between units
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Poor
EngagementVenue for
Complaints
Commitment
Phobia
Low Enthusiasm
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The Paradox
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“Unit Council is such a
clique”
“I don’t want to be on
the council”
“What are they working
on?
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The Dysfunction
• Projects not aligned with organizational goals
• Spotty communication
• Frustration
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Time for a Change
• Passion existed outside of council
• Is there a better way to design this?
• What do we need to do?
August 2015
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Forming a Work Group
• Unit council chairs (3)
• Council coaches/unit supervisors (2)
• Nurse educator
• Nurse managers (2)
• Nursing director
September 2015
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Brainstorming the New Model
Patient
Satisfaction
Quality &
Safe
ty
Staff
Satisfaction
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Creating a Model
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Defining Project Pathways
Recognition
25 year perks
Scheduling
HAI’s
Sepsis Falls
HAPI’s
Noise reduction
Call light response
RN communication
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Standardizing a Budget
Leadership approved new council budget:
• Budgeted hours to support 3 concurrent projects
• Allocation adjusted according to unit size
• Chair given additional time
December 2015
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Standardizing a Budget
Monthly
Hours
Yearly
Hours
Chair 6 72Project leads
(4 hours x 3 potential
leads)12 144
Project members
(3 hours x 6 members –
or 2 members/project)18 216
Total 36 432
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Clarifying Roles
Project Lead
Chair
Coach
Leadership
• Unit Supervisors
• Manager
• Director
• Chief Nursing Officer
December 2015
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Building the Foundation
• SBAR tool
• Unit project pathway
• Budget Log
• Reporting tool
• Role definitions
• Pit Crew – resources
• Charter
December 2015
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Defining a Project Pathway
• Identify idea
• Complete SBAR
• Determine resources
• Chair and Coach meet with project lead
• Map out project timeline/next steps
• Report progress
December 2015
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Defining the Project Pathway
Unit Council Toolkit
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Providing Focused Education
4 hour class for Chairs and Coaches
• Overview of change
• Review of toolkit
• Introduction to
o Project management
o Data measurement
o Presentation skills
March 2016
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Developing Communication Venue
Audience:
• CNO
• Directors
• Managers
• Frontline leaders
• CNS/Educators
5 minute project presentations
June 2016
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Learning From Our Experiences
• Training didn’t touch everyone
• Leaders lost their sounding board/group
• Difficulty articulating the new structure
December 2016
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Learning From Our Experiences
Training didn’t touch everyone
Small group training
Course Revision
Large group training
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Learning From Our Experiences
Leaders lost their sounding board/group
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Learning From Our Roadblocks
Roadblock 3
Name confusion
Roadblock 2
Difficulty articulating
change
Roadblock 1
Resistance to change
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Current State
Unit Councils Experiencing Success
o Inclusive and flexible
oProjects align with health system priorities
oLeadership more aware of projects
oSuccessful spread of projects
oProfessional growth
2017
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Current State
Improved Communication
• Project Boards
• Chatterbox
• Huddles
• Presentations
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Current State
Project Sharing
• Poster presentations
• Leadership meetings
• Peer sharing
• Nurses Week
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Current State
Professional Development
• Presentation skills
• Project management skills
• Communication skills
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Mother Baby Unit Council Projects
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Standardization Newborn
Supply Carts
“Ask me about STS”
BFHI Button Campaign
Bedside Bath
Bedside Procedures
Well-Baby Nursery Layout
Staff Recognition for BD
VTO Binder
Patient driven DC
Education
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Labor and Delivery Unit Council Projects
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Holiday Rotation Schedule
Cord Blood Labeling
Skin to Skin in the OR
Bedside Tabletop Stands
Bedside Reference Cards
Surgical Prep Drying TimeNeonatal Early Onset
Sepsis
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RN Satisfaction Scores, 2014 - 2016
40
78
0
20
40
60
80
100
Inpatient Units 2014 Inpatient Units 2016
Perc
ent
Comparison of RN Satisfaction for Interprofessional Relationships,
2014 to 2016
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Timeline
• 7 months from idea to implementation
• Continual improvements and adjustments
• The fuel for our success:o New opportunities for staff engagement and professional growth
o Alignment with organizational priorities
o Support of leadership
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Thank you!
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Questions?